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Informovaný souhlas se zákrokem

I hereby declare, that I was informed and instructed by a tattooist, who will perform the intervention (“tattooist”), of the tattoo and piercing studio BLACK HOUSE TATTOO s.r.o., with its registered office at Turnovská 477/6, Libeň, 180 00 Praha 8, registration number: 04385322, registered in the Commercial Register administered by Municipal Court in Prague under file number: C 246801 (“studio”), before an intervention (tattooing) about a nature and a method of the intervention, possible complications caused by the intervention, as well as about other related matters to the intervention. I hereby declare, that a tattooist sufficiently explained to me how to take care of a tattoo (as mentioned herein below) and sufficiently answered all my questions.

 

I hereby declare and I am aware of a fact that I must unconditionally stick to a process of a care of a tattoo and if not, I am aware of possible corollaries (particularly bad healing, health complications and bigger corrections of a tattoo). I am aware of a fact that neither the tattooist nor the studio are liable for corollaries caused by a bad care of a tattoo or by using products not bought from the studio (or by a bad use of products bought from the studio).

I hereby declare that, based on the instruction given to me by a tattooist, I fully understand all risks of the planned intervention and agree with the intervention, even though such intervention will cause a disruption of my body integrity. I hereby declare that I was informed by a tattooist, that during and after the intervention may occur health complications and/or unwanted corollaries and because of the consent and the instruction, neither a tattooist nor the studio are liable for them. I hereby declare that a tattooist instructed me on all possible risks of tattooing, particularly that: 

  • if I do not take care of a tattoo properly, there may occur a local bacterial infection (skin infection) on a tattoo, which is characterized by reddening, puffiness, suppuration and painfulness; 

  •  my body may react to a tattoo with an allergic reaction, which means that there may occur a skin rash on a tattoo; 

  • during a healing process there may occur inflammation (granuloma) in area where ink was applied and the intervention may result in a creation of scars (keloids), particularly if I am prone to creation of a keloid scars; 

  • a tattoo may itch or burn during a magnetic resonation; 

  • a tattoo is permanent and its removal is highly demanding and may not be always 100% effective. 

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